# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第四条 (Supplementary Provisions, Article 4)

- Law: 高齢者の医療の確保に関する法律 (Act on Assurance of Medical Care for Elderly People), 昭和五十七年法律第八十号
- English title "Act on Assurance of Medical Care for Elderly People": Ministry of Justice translation
- Kind: Act — the distinction between 法律 (Act), 政令 (Cabinet Order), 省令 (Ministerial Order) and 条例 (local ordinance) decides who may issue it and what it may say.
- Provision: 第四条 (Supplementary Provisions, Article 4) — address `suppl-3611-106/art-4`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-4
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-4
- Every provision below carries its address and both URLs on the line under it.
- Japanese text: e-Gov 法令検索, Digital Agency (デジタル庁). English: as marked on each line below.

Only the Japanese as published by the government has legal effect; the text
below is a copy of it. Every English rendering below is a translation and
says which kind: the Ministry of Justice's translation, or this
site's machine translation, whose model and date the Sources list names.
They are never merged and never substituted for one another.

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### 第四条
<sup>suppl-3611-106/art-4 · https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-4 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-4</sup>

**第一項**  昭和六十一年度の概算医療費拠出金の額は、新老健法第五十五条第一項の規定にかかわらず、次の各号に掲げる額の合計額とする。
<sup>suppl-3611-106/art-4/par-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-4/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-4/par-1</sup>
The amount of the estimated medical expense contribution for fiscal year 1986 is, notwithstanding Article 55, paragraph (1) of the New Elderly Health Act, to be the sum total of the amounts set forth in the following items.
<sup>machine translation, not official</sup>

  **一**  旧老健法の規定に基づき算定された昭和六十一年度の概算医療費拠出金の額の十二分の十に相当する額
  <sup>suppl-3611-106/art-4/par-1/item-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-4/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-4/par-1/item-1</sup>
  an amount equivalent to 10/12 of the amount of the estimated medical expense contribution for fiscal year 1986 calculated based on the provisions of the Former Elderly Health Act;
  <sup>machine translation, not official</sup>

  **二**  次に掲げる額の合計額の十分の七に相当する額
  <sup>suppl-3611-106/art-4/par-1/item-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-4/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-4/par-1/item-2</sup>
  an amount equivalent to 7/10 of the sum total of the following amounts:
  <sup>machine translation, not official</sup>

    **イ**  市町村が昭和六十一年度において支弁する当該保険者に係る七十歳以上の加入者等に対する施行日以後に行われる医療及び特定療養費の支給（医療費の支給を含む。）に要する費用の見込額として厚生省令で定めるところにより算定される額（ロにおいて「施行日以後医療費見込額」という。）に百分の二十を乗じて得た額
    <sup>suppl-3611-106/art-4/par-1/item-2/sub-1 · https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-4/par-1/item-2/sub-1 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-4/par-1/item-2/sub-1</sup>
    the amount obtained by multiplying by 20 percent the amount calculated as specified by Ministry of Health and Welfare Order as the estimated amount of expenses required for medical care and the payment of specified medical expenses (including payment of medical expenses) to be provided on or after the Effective Date to participants, etc. aged 70 or older pertaining to the Insurer concerned, which a municipality is to bear in fiscal year 1986 (referred to as "post-commencement estimated medical expenses" in (b));
    <sup>machine translation, not official</sup>

    **ロ**  施行日以後医療費見込額（当該保険者に係る七十歳以上の加入者等一人当たりの施行日以後医療費見込額として厚生省令で定めるところにより算定される額をすべての保険者に係る七十歳以上の加入者等一人当たりの施行日以後医療費見込額の平均額として厚生省令で定めるところにより算定される額（以下この号において「平均一人当たり老人医療費見込額」という。）で除して得た率が、すべての保険者に係る七十歳以上の加入者等一人当たりの施行日以後医療費見込額の分布状況等を勘案して政令で定める率を超える保険者にあつては、平均一人当たり老人医療費見込額に当該政令で定める率を乗じて得た額を超える部分として厚生省令で定めるところにより算定される額（ハにおいて「調整対象外医療費見込額」という。）を除く。）の百分の八十に相当する額に昭和六十一年度に係る新老健法第五十五条第三項の概算加入者調整率を乗じて得た額
    <sup>suppl-3611-106/art-4/par-1/item-2/sub-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-4/par-1/item-2/sub-2 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-4/par-1/item-2/sub-2</sup>
    the amount obtained by multiplying the amount equivalent to 80 percent of the post-commencement estimated medical expenses (excluding, for an Insurer for which the rate obtained by dividing the amount calculated as specified by Ministry of Health and Welfare Order as the post-commencement estimated medical expenses per participant, etc. aged 70 or older pertaining to the Insurer by the amount calculated as specified by Ministry of Health and Welfare Order as the average of the post-commencement estimated medical expenses per participant, etc. aged 70 or older pertaining to all Insurers (hereinafter in this item referred to as the "average estimated elderly medical expenses per person") exceeds the rate specified by Cabinet Order in consideration of the distribution, etc. of the post-commencement estimated medical expenses per participant, etc. aged 70 or older pertaining to all Insurers, the amount calculated as specified by Ministry of Health and Welfare Order as the portion exceeding the amount obtained by multiplying the average estimated elderly medical expenses per person by that rate specified by Cabinet Order (referred to as "estimated medical expenses outside adjustment" in (c))) by the estimated participant adjustment rate under Article 55, paragraph (3) of the New Elderly Health Act for fiscal year 1986;
    <sup>machine translation, not official</sup>

    **ハ**  当該保険者に係る調整対象外医療費見込額に百分の八十を乗じて得た額
    <sup>suppl-3611-106/art-4/par-1/item-2/sub-3 · https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-4/par-1/item-2/sub-3 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-4/par-1/item-2/sub-3</sup>
    the amount obtained by multiplying the estimated medical expenses outside adjustment pertaining to the Insurer concerned by 80 percent.
    <sup>machine translation, not official</sup>

**第二項**  前項第二号ロの政令を定めるに当たつては、厚生大臣は、あらかじめ老人保健審議会の意見を聴かなければならない。
<sup>suppl-3611-106/art-4/par-2 · https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-4/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-4/par-2</sup>
In specifying the Cabinet Order referred to in item (ii), (b) of the preceding paragraph, the Minister of Health and Welfare must hear the opinion of the Elderly Health Council in advance.
<sup>machine translation, not official</sup>

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## Cites
- suppl-3611-106/art-4/par-1/item-2/sub-2: この号 → 高齢者の医療の確保に関する法律 附則第四条第一項第二号 (Supplementary Provisions, Article 4, paragraph (1), item (ii)), suppl-3611-106/art-4/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-4/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-4/par-1/item-2
- suppl-3611-106/art-4/par-2: 前項第二号 → 高齢者の医療の確保に関する法律 附則第四条第一項第二号 (Supplementary Provisions, Article 4, paragraph (1), item (ii)), suppl-3611-106/art-4/par-1/item-2 — https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-4/par-1/item-2 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-4/par-1/item-2

## Cited by

6 provisions cite this one. No official source publishes this direction.

- 高齢者の医療の確保に関する法律 附則第一条第一項第一号（施行期日） — https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-1/par-1/item-1 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-1/par-1/item-1
- 高齢者の医療の確保に関する法律 附則第四条第一項第二号ロ — https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-4/par-1/item-2/sub-2 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-4/par-1/item-2/sub-2
- 高齢者の医療の確保に関する法律 附則第四条第二項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-4/par-2 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-4/par-2
- 高齢者の医療の確保に関する法律 附則第五条第一項第二号ロ — https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-5/par-1/item-2/sub-2 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-5/par-1/item-2/sub-2
- 高齢者の医療の確保に関する法律 附則第八条第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-8/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-8/par-1
- 高齢者の医療の確保に関する法律 附則第十条第一項 — https://japanlaw.org/en/elderly-medical-care-act/suppl-3611-106/art-10/par-1 · https://japanlaw.org/l/357AC0000000080/suppl-3611-106/art-10/par-1

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## Sources

- e-Gov 法令検索, Digital Agency (デジタル庁) — 高齢者の医療の確保に関する法律 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/357AC0000000080/20261001_507AC0000000087), retrieved 2026-10-19
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19
- claude-sonnet-5-5 — Machine translation, batch elderly-medical-care-act-20261019T112331-007, translated 2026-10-19
- This site's parser, version 209 — 高齢者の医療の確保に関する法律 — structure, counts, cross-references and defined terms, computed 2026-10-19